Prenatal Substance Abuse
DIC
PIH
Intrapartum
Intrapartum #2
100
What is the method that prioritizes non-pharmacologic approaches to manage opioid-exposed newborns?
Eat, Sleep, Console method
100
DIC is a ________ diagnosis.
Secondary
100
What is the difference between preeclampsia and eclampsia?
Eclampsia is preeclampsia but with seizures
100
Which part of the first phase of labor is teaching typically receptive?
Latent phase
100
How many attempts do doctors have when performing a vacuum extraction?
3 attempts
200
If a newborn has a ESC of 3, what could be the next treatment option for them?
This newborn has difficulty with soothing efforts after 10 minutes therefore medication treatment may be initiated.
200
A patient with suspected DIC has labs drawn and their CBC and platelets are abnormal. What would you expect their platelets to be, low or high?
LOW
200
What does HELLP syndrome stand for?
H- Hemolysis
E- Elevated Liver enzymes
L-Low Platelet count
200
What should be done for a laboring patient who is has late decelerations on their monitor?
Late decelerations are indicative of placental insufficiency. Patient should receive oxygen/bolus & be repositioned.
200
Explain what an episiotomy is.
A surgical incision of perineal body to enlarge outlet for baby
300
What should always be available in the delivery room of a mother who is on or addicted to opiates?
Narcan
300
What are the risk factors for DIC in pregnant women?
fetal demise, placental abruption, preeclampsia, septic abortion or retained fetal parts
300
What med can be given for treatment of high blood pressure during pregnancy and what should be done prior to administration?
Labetalol
Test dose prior to administration
300
Which fetal position is most appropriate to pass safely through the birth canal?
A
300
When the umbilical cord lengthens and a sudden gush of blood comes from the patient what is about to happen?
Delivery of placenta
400
What is the preferred way of diagnostic testing for substance abuse on a newborn?
What is the disadvantage of this test?
Cord testing is the preferred method.
The disadvantage is that the cord analysis takes a few days to get the results.
400
What are expected findings on cardiac/respiratory assessment of a patient diagnosed with DIC?
Hypotension, tachypnea, tachycardia, decreased breath sounds, hypovolemic shock symptoms
400
Name the PIH symptoms.
Epigastric pain, headache, visual disturbances, hyper reflexes, proteinuria, edema/weight gain
400
If a patients cervical exam shows the patients baby is at +3 station, what would this mean?
The babies head is below the ischial spines and should not be far from delivery
400
A laboring patient comes to your unit and you go to perform a cervical check on them. You notice part of the umbilical cord is hanging out. What should you do?
Apply pressure to presenting part to restore fetal airway, administer oxygen 8-10L/min, and place patient in trendelenburg or knee to chest
500
What is an important point of education for your patient who is breastfeeding but also smokes cannabis on occasion?
Cannabis is secreted in breast milk and can accumulate in high levels of concentration.
500
What is the main concept for treatment of DIC?
Treat the primary cause
500
What should be immediately available for any patient receiving magnesium sulfate?
The antidote- calcium gluconate
500
What fetal position is this baby in? Is this an appropriate position for labor?
Left occiput anterior.
Yes
500
Patients with what kind of medical history would be contraindicated for their baby to have an internal fetal scalp electrode?
Patients with history of HIV/AIDS or STIs